Customer Service Representative - Remote | WFH

Join our team and be part of our mission to enhance healthcare affordability for patients and restore the fulfillment of practicing medicine for providers. As a Customer Service Representative, you'll play a crucial role in providing excellent customer service to our clients and members.
Your Responsibilities...
• Answer incoming calls promptly and professionally, offering skilled problem-solving and meeting set quality standards.
• Demonstrate courtesy and professionalism while providing accurate information to callers.
• Handle client and member inquiries related to claims payment, status, and coverage information with expertise.
• Interpret and follow client health plan protocols efficiently.
• Assist in claims processing by backing up the claims processing area with reports and workflow queues as assigned.
• Check and maintain accurate tracer documentation.
• Ensure complete and detailed call documentation.
• Maintain a high level of professionalism in all interactions.
• Promptly return incoming calls.
• Take on additional projects and duties as assigned.
Qualifications
• 1 to 3 years of customer service experience, preferably in the healthcare field.
• Experience in a high-volume call center environment.
• Background in healthcare or health insurance (BCBS HMOI or other insurance plans experience is a plus).
• Proficiency in Microsoft Office and multiple systems.
• Excellent verbal and written communication skills.
• HMO Managed care Medicare Advantage experience would be highly valued.
Compensation And Benefits
Our comprehensive compensation package includes a competitive base pay range of $18.45 to $20.50 per hour, paid bi-weekly per our standard payroll practices. Additionally, we offer world-class benefits, including comprehensive medical, dental, and vision plans, long and short-term disability, life insurance, and a 401k plan with a generous match. Our paid time off program includes paid holidays and flexible time, ensuring a healthy work-life balance.
Equal Opportunity Employer
We are an equal opportunity employer dedicated to fostering a diverse, inclusive, and welcoming environment. We make employment decisions without regard to race, religious creed, color, age, sex, sexual orientation and identity, national origin, citizenship, religion, marital status, familial status, physical, sensory, or medical disability, Family and Medical Leave, military or veteran status, pregnancy, childbirth or other related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.
Security Responsibilities
This position is responsible for following all Security policies and procedures to protect all Protected Health Information (PHI) under our custodianship, as well as our Intellectual Properties. Security-specific roles may have further defined responsibilities.
Employment Type: Full-Time

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